Provider Demographics
NPI:1407553191
Name:MORRISON, LESLIE-ANN C (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE-ANN
Middle Name:C
Last Name:MORRISON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3604 BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33026-1240
Mailing Address - Country:US
Mailing Address - Phone:305-495-9932
Mailing Address - Fax:
Practice Address - Street 1:3604 BRIDGE RD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33026-1240
Practice Address - Country:US
Practice Address - Phone:305-495-9932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH20597101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health